Provider Demographics
NPI:1588834048
Name:DR HUGO MARTINEZ OFTALMOLOGO, CSP
Entity Type:Organization
Organization Name:DR HUGO MARTINEZ OFTALMOLOGO, CSP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HUGO
Authorized Official - Middle Name:E
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:787-767-4350
Mailing Address - Street 1:CLINICA LAS AMERICAS
Mailing Address - Street 2:400 FD ROOSEVELT SUITE 303
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-2103
Mailing Address - Country:US
Mailing Address - Phone:787-767-4350
Mailing Address - Fax:787-282-8774
Practice Address - Street 1:CLINICA LAS AMERICAS
Practice Address - Street 2:400 FD ROOSEVELT SUITE 303
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-2103
Practice Address - Country:US
Practice Address - Phone:787-767-4350
Practice Address - Fax:787-282-8774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-11
Last Update Date:2010-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7039207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty